Gupta, Vivek Kumar

Gupta, Vivek Kumar is an individual health care provider with primary practice located at 6002 Professional Parkway Suite 100, Douglasville GA 30134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gupta, Vivek Kumar can be contacted via phone (770) 949-4200.

Contact Information

Primary practice address
6002 Professional Parkway Suite 100 Douglasville GA 30134
Phone: (770) 949-4200
Fax: (770) 949-5553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 052734 Georgia

Profile Details

NPI number 1881612133
LBN Legal business name Gupta, Vivek Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881612133 NPPES
Other P00107542 RAILROAD MEDICARE
MEDICAID 003379537A RAILROAD MEDICARE
Other 072044 RAILROAD MEDICARE
Other 7157520 RAILROAD MEDICARE
MEDICAID 003379537B RAILROAD MEDICARE
Other 323384 RAILROAD MEDICARE
Other 5418507001 RAILROAD MEDICARE
Other 7157520 RAILROAD MEDICARE

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